🇪🇹 ጤናማ እናት~ለደስተኛ ቤተሰብ

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🩺 ◈Bad Obstetric History (BOH)◈ ➤ Bad Obstetric History (BOH) refers to a situation where a woman has had unfavorable outcomes in her previous pregnancies, which may increase the risk of complications in the current or future pregnancies. 📌  Bad Obstetric History (BOH) : ➤ A history of one or more previous pregnancies that resulted in adverse outcomes such as repeated pregnancy loss, stillbirth, neonatal death, or congenital abnormalities. ⚠️ Key Components of BOH: ➽ A pregnant woman is considered to have BOH if she has experienced one or more of the following: ◈ 1. Recurrent Pregnancy Loss (RPL): △ Loss of two or more consecutive pregnancies before viability (usually before 20–28 weeks depending on context) ▩ Causes may include: ➽ Genetic abnormalities ➽ Hormonal imbalance ➽ Uterine abnormalities ➽ Infections ◈ 2. Stillbirth ➤ Fetal death after 28 weeks of gestation (WHO definition). ➠ Cause ➽ Placental insufficiency ➽ Hypertensive disorders ➽ Maternal infections ◈ 3. Early Neonatal Death: ➽ Death of a newborn within the first 7 days of life. ➽ Often associated with: ➤Prematurity ➤ Birth asphyxia ➤ Severe infections ◈ 4. Congenital Anomalies Previous baby born with structural or functional defects. Such as:- ➽ Neural tube defects ➽ Congenital heart disease ◈ 5. Preterm Birth: ➽ Delivery before 37 completed weeks of gestation. ➽ Repeated preterm births increase BOH risk classification ◈ 6. Intrauterine Growth Restriction (IUGR) ➽ Baby is smaller than expected for gestational age Indicates placental or maternal problems. 7. Abruptio Placenta / Placenta Previa History ➽ History of placental complications in previous pregnancy. ◈ 8. Unexplained Fetal Loss Previous pregnancy loss with no identifiable cause. 🧠 Clinical Importance of BOH ➽ Women with BOH are classified as high-risk pregnancies because: Increased chance of recurrence. Higher maternal anxiety and psychological stress Need for specialized antenatal care and monitoring. 🔍 Common Causes of BOH 🧬 Genetic Factors ➤ Chromosomal abnormalities in parents or fetus 🦠 Infections ➤ TORCH infections (e.g., Toxoplasmosis, Rubella) 🧪 Endocrine Disorders ➤ Diabetes mellitus Thyroid dysfunction 🩸 Immunological Causes ➤ Antiphospholipid syndrome 🏥 Anatomical Factors ➤ Uterine malformations ➤ Cervical incompetence 🩺 Management Approach 1. Preconception Care Counseling and risk assessment, and Folic acid supplementation 2. Antenatal Care (ANC) ➤ Early booking ➤ Frequent follow-ups ➤ Ultrasound monitoring 3. Targeted Investigations ➤ Genetic testing ➤ Infection screening ➤ Hormonal evaluation 4. Psychological Support ➤ Address anxiety and emotional stress ✅ Summary ➽ Bad Obstetric History (BOH) is not a single disease, but a clinical term describing previous poor pregnancy outcomes. ➽ It signals the need for: ➤ Careful evaluation ➤ Close monitoring ➤ Specialized care in future pregnancies. #MaternalHealth #SafeDelivery #FamilyHealth

◈ FOLIC ACID (Vitamin B9) IN PREGNANCY◈ 🧬 WHAT IS FOLIC ACID? ➽ Folic acid is a water-soluble B vitamin. ➽(Vitamin B9) essential for: ➨ DNA formation ➨ Cell division ➨ Rapid tissue growth (especially in early pregnancy) 👉 It is most critical in the first 28 days of pregnancy, often before a woman even knows she is pregnant. 🌸 ADVANTAGES OF FOLIC ACID 👩‍⚕️ For the Mother ➳ Prevents megaloblastic anemia ➳ Supports healthy placenta formation ➳ Reduces risk of pregnancy complications. 👶 For the Baby ➠ Ensures proper brain and spinal cord development ➠ Supports normal fetal growth ➠ Reduces congenital abnormalities ⏰ TIMING OF FOLIC ACID 🟢 BEFORE PREGNANCY (Preconception) ➤ Start at least 1–3 months before conception Critical because neural tube forms very early. 👉 This is the MOST IMPORTANT PERIOD 🔵 DURING PREGNANCY ➽ 1st Trimester (0–12 weeks) Highest importance Neural tube closes by day 28. ➽2nd & 3rd Trimester Continue to support: ➳ Blood formation ➳ Fetal growth 💊 DOSAGE RECOMMENDATION ✅ Normal Pregnancy ➠ 400 micrograms (0.4 mg) daily ⚠️ Bad Obstetric History ➠ (BOH) / High-Risk Women Includes: ➽ Previous baby with neural tube defect ➽ Recurrent miscarriage ➽ Family history of congenital anomalies Diabetes, epilepsy, obesity 👉 Recommended dose: 5 mg daily (HIGH DOSE). 🛡️ DEFECTS PREVENTED BY FOLIC ACID 🧠 Neural Tube Defects (NTDs) 1. Spina Bifida Spine does not close properly May cause paralysis 2. Anencephaly Brain fails to develop Usually fatal 3. Encephalocele Brain tissue protrudes outside skull ❤️ Other Conditions Reduced ◈ Congenital heart defects Cleft lip & palate ◈ Some urinary tract defects. 🔴 FOLIC ACID IN BOH (SPECIAL FOCUS) Why higher dose? ➤ Women with BOH have: △ Higher recurrence risk of birth defects △ Possible underlying nutritional deficiency 💡 Benefits in BOH ▩ Reduces recurrence of NTDs by up to 70% ▩ Improves fetal survival in early pregnancy ▩ Supports proper implantation and placental development. 🍃 NATURAL SOURCES OF FOLATE ◈ Dark green vegetables (spinach, kale) 🥬 ◈ Lentils and beans ◈ Citrus fruits 🍊 ◈ Liver (in moderation) 👉 BUT diet alone is NOT enough → supplementation is required.

◆◆◆Multivitamin and Mineral Supplements (MMS)◆◆◆ ➽ Multivitamin and mineral supplements during pregnancy play a major role in supporting both maternal health and fetal development. ➠ Advantages:- ◈1. Prevents Nutritional Deficiencies: ➳ Pregnancy increases the need for nutrients like iron, folic acid, calcium, and vitamins. Example: A pregnant woman who takes supplements is less likely to develop iron deficiency anemia, which can cause fatigue and dizziness. ◈2. Reduces Risk of Birth Defects: ➳ Folic acid (vitamin B9) is essential for proper fetal brain and spinal cord development. Example: Adequate folic acid intake reduces the risk of neural tube defects such as Spina bifida. ◈3. Supports Fetal Growth and Development: ➳ Key nutrients like protein, iodine, zinc, and vitamin D help the baby grow properly. Example: Iodine supports brain development, reducing the risk of intellectual disabilities in the baby. ◈4. Improves Maternal Immunity: ➽ Vitamins like C, D, and zinc strengthen the immune system. Example: A mother taking supplements may better resist infections like Common cold during pregnancy. ◈ 5. Prevents Anemia Iron and folic acid help produce healthy red blood cells: Example: Supplements reduce the risk of Iron-deficiency anemia, which can lead to preterm delivery. ◈6. Supports Bone Health: ➽ Calcium and vitamin D are crucial for both mother and fetus. Example: Prevents maternal bone weakness and supports fetal skeletal formation. ◈7. Reduces Risk of Pregnancy Complications: ➽ Certain nutrients lower the risk of complications. Example: Adequate calcium intake may reduce the risk of Pre-eclampsia (high blood pressure in pregnancy). ◈8. Enhances Energy Levels: ➽ B-complex vitamins help convert food into energy. Example: Reduces extreme tiredness, helping the mother stay active during daily activities. ◈9. Supports Healthy Birth Weight: ➽ Proper nutrition ensures optimal fetal growth. Example: Reduces the risk of Low birth weight babies. ◈10. Helps in Postpartum Recovery: Adequate nutrient stores help the body recover after delivery. Example: Mothers with good iron and vitamin levels recover faster from blood loss during childbirth. ▩Important Note▩ ➨ Multivitamins are supplements➛not substitutes for a balanced diet. They should be taken under healthcare guidance to avoid overdose (e.g., excess vitamin A can be harmful). #MaternalHealth #SafeDelivery #FamilyHealth

#NGAT‼️ የድህረምረቃ ፕሮግራሞች የመግቢያ ፈተና (NGAT) የምዝገባ ጊዜን ስለማሳወቅ። ትምህርት ሚኒስቴር በ2018 የትምህርት ዘመን የድህረምረቃ ፕሮግራሞች ለመማር ፍላጎት ላላቸው አመልካቾች የሚሰጠው የድህረምረቃ ፕሮግራሞች የመግቢያ ፈተና  (NGAT) ምዝገባ ከመስከረም 20 -25/2018 ዓ.ም የሚካሄድ መሆኑን አውቃችሁ የመመዝገቢያ ቅጽ ላይ የተዘረዘሩትን መስፈርቶች በማሟላት በ https://ngat.ethernet.edu.et በኩል መመዝገብ የምትችሉ መሆኑን እየገለጽን ፈተና የሚሰጥበትን ጊዜ በቀጣይ የምናሳውቅ መሆኑን እንገልጻለን:: ከምዝገባ ጋር ተያይዞ ለሚኖራችሁ ጥያቄ ዘውትር በስራ ሰዓት በ0920157474 ወይም 0911335683 እንዲሁም በኢሜይል አድራሻ ngat@ethernet.edu.et በኩል ማብራሪያ መጠየቅ የምትችሉ መሆኑን እንገልጻለል። ማሳሰቢያ፤ 1. ሁሉም አመልካቾች የብሄራዊ ዲጂታል መታወቂያ ሊኖራቸው ይገባል። 2. የምዝገባ እና የአገልግሎት ክፍያ 750 ብር በTeleBirr በኩል ብቻ መከፈል ይኖርበታል። @healthinovation

Recent updates on Paracetamol for Pregnant Mothers ! ☝️☝️☝️

https://calendar.app.google/cRUQV8ghzCR2WMB27 ☝️☝️☝️☝️☝️☝️☝️☝️☝️☝️☝️ Hello everyone, Midwifery professionals "Welcome to our channel. This space is dedicated to advancing knowledge, practice, and dialogue in the field of midwifery. Here, we share evidence-based insights, professional guidance, and resources to support safe, respectful, and compassionate maternity care. Thank you for joining this community committed to excellence in maternal and newborn health." Fill the above link to advance in Maternal care quality in different Facilities ! We Thanks all 🙏🙏🙏

➡ Communication is Based on our vote !

Is it the Channel is Continue to Communicate with members or not ? anonymous poll Yes – 119 👍👍👍👍👍👍👍 83% No – 24 👍 17% 👥 143 people voted so far.

Well Come Family 😎😎😎 after 'Two' full years of ○◦Hibernation◦○ ‼️

➾Vacancy Anouncement👇 1.Organization: Ethiopian Midwives Association (EMwA) Position: Midwife Education: BSc in #Midwifery and above; knowledge of local language Location: Borena Zone, Oromia Region No of positions: 10 Minimum Experience: unspecified Deadline: March 28 2023 🔗 Vacancy Details https://bit.ly/42j9ElU Share the link for Future Vacancy 👇👇👇👇👇👇👇 https://t.me/Ethiomidassociation

የአማራ ክልል የሚድዋይፍ የስራ መደብ ለፈተና የሚቀርቡ አመልካቾች የስም ዝርዝር የፈተና ቀን እንዲሁም የፈተና ቦታ የሚገልፅ ነውና ከዚህ የቴሌግራም ግሩፕ አባላት ውጭ ለሆኑ ከታች ያለውን ሊንክ https://m.facebook.com/story.php?story_fbid=pfbid0Q2WKCjviWPnHncHiv2REpwp6EjtX7bAZvPKXoqi8qGGv8CZLSwy4Q9SPpHvxsjBfl&id=100064764636407&sfnsn=mo&mibextid=6aamW6 ሼር ማድረግ ይቻላል::

Medico-Legal Issues Become a problem for Many Midwives. EMwA has been involved in many MIdwives Legal issues. Recently it's increasing. We invite MOH experts in Medico-legal Issues and EMwA legal advisor (Expert Attorney on Medico legal issues. All midwives kindly register to the zoom link and attend the event. You will benefit REGISTER HERE👇 https://docs.google.com/forms/d/1fezQlqT2I4uDjsyyFPmRHQzHz5ty1L7W8ryFCOzVHZc/edit

🇪🇹 ጤናማ እናት~ለደስተኛ ቤተሰብ pinned «https://emwa.org.et/appl»